Airway Team Dynamics

We want to show you how your performance as an Airway Team Nurse can improve patient care in critical situations.

Using skills and drills, team dynamics, simulations and other exercises we will explore the qualities needed to be an excellent airway nurse.

Facilitators: Dr Anthony Lewis & Dr Laurence Boss

Dr Anthony Lewis Laurence Boss 300x300

Tonya Donnelly1, Dr Amy Johnston2, Nerolie Bost1, Dr Michael Aitken1, Cary Strong3, Jo Timms1, Kate Gilmore1, Professor Julia Crilly2

1Dept Emergency Medicine, Gold Coast Health , Southport, Australia, 2Dept Emergency Medicine Gold Coast Health And Menzies Health Institute Qld  , Southport, Australia, 3Gold Coast LASN, Queensland Ambulance Service, Ormeau, Australia

You’re off to great places, but why do you go? So you’ve set up a tent – but what does it show?

Background: Emergency department (ED) crowding and ambulance transportation rates are known to be increasing annually. The implementation of ED avoidance strategies during events such as mass-gatherings can be an important. One such strategy, the ‘Schoolies week’ health tent has been in operation for 10+ years. Evidence in support of its use for ED avoidance has been primarily anecdotal.

Methods: This was a retrospective observational study.  The study sample included all 16-18 years old patient presentations made to the ED over a three week period (pre, during, post Qld Schoolies week) and to a temporary medical tent (during Qld Schoolies week) in 2014. Patient information from the ED and ambulance service databases were linked. Descriptive and inferential statistics were used for analysis.

Results: A total of 1,028 patient presentations were made by the 16-18 year age group to the ED and/or health tent over the three week study period ( (120 pre, 684 during, 224 post Qld Schoolies week). During the schoolies week, a total of 420 presentations were made to the health tent with an average of 60 per night. The majority (n=394) were seen and discharged from the tent while some (n=26) required further ED care.

Conclusions: The results suggest that a temporary facility for one week during the Schoolies mass-gathering event was a useful ED avoidance strategy for young adult school leavers. Pressure on the hospital EDs and ambulance services was relieved, and access by local residents maintained, because the on-site tent diverted young people away from the local EDs. Given the increase in ED crowding and pressures on ambulance services, such care models may be worth considering for mass gathering events in other locations.


Biography:

Tonya Donnelly is a highly experienced award-winning ED CNC, who has held the disaster/mass gathering portfolio at Gold Coast Health Service for ~10 years. She is committed to developing and implementing evidence-based ED avoidance strategies that really reduce patient load and enhance care delivery in local EDs. She is passionate about the establishment of hospital avoidance programs particularly around mass gatherings.

Amy Johnston is a conjoint research fellow in Emergency Care, based between Gold Coast Health and Menzies Health Institute Queensland/School of Nursing and Midwifery Griffith University, seconded from a senior lecturer position at Griffith University. She is deeply committed to bringing research skills and outcomes to emergency staff. She is a widely published and cited academic and registered nurse with experience in a range of research techniques. Her love of clinical research is heartfelt and (hopefully) infectious. She is involved in HDR student supervision and onsite development of ED staff research skills.

/ ICEN2017, Uncategorized

A brief introduction to the Behaviour Change Wheel

The aims of this workshop are to:

  • Introduce the COM-B model and Behaviour Change Wheel
  • Provide an opportunity to apply both tools to address a behaviour change problem

Workshop structure

Part 1: Using the COM-B model to understand behaviour

  • Slide presentation – the COM-B model
  • Group task – workshop participants will get into groups of 5/6, the facilitator will present groups with a behaviour change problem, the group will use the COM-B model to identify influences on the target behaviour
  • Feedback to the whole group – groups will feedback to all attendees on the previous task

 

Part 2: Using the Behaviour Change Wheel (BCW) to design an intervention

  • Slide presentation – the BCW
  • Group task – workshop participants will get into the same groups of 5/6, using the COM-B analysis in the previous task, groups will begin to design an intervention
  • Feedback to the whole group – groups will feedback to all attendees on the previous task

Facilitator: Dr Louise Atkins

Dr Lou Atkins_300

“Designing and conducting simulation – tricks and tips. It’s not all about the bells and whistle’s, low fidelity or high fidelity….it’s all learning”

Aim: The aim of this workshop is provide some tools , advice and practice for developing and implementing simulation in emergency departments to support the acquisition and rehearsal of skills and knowledge in paediatrics.

Background: The value of clinical simulation has become highly regarded in healthcare education and has been reported to enhance critical thinking, problem solving, clinical judgement and rapid response skills. In addition, evidence suggests that simulation greatly improves communication amongst staff, positively impacting on patient outcomes.

Overview of workshop: The purpose of the workshop is to provide an immersive experience for paediatric clinicians and educators in delivering department based simulation. Using simulation, the participants will be able to follow through a scenario the management and stabilisation of an acutely unwell child. Participants learning will be facilitated through participation and role modelling, and will cover the following components: how to direct, troubleshoot and debrief simulation. The scenario and workshop is applicable to those clinicians involved in the delivery of paediatric education in any setting, particularly those outside the tertiary centres.

Facilitators: Jane Cichero & Nadine Alcorn

An interactive small group workshop with a series of brief presentations interposed with table top exercises around participants own idea / project.

The aims of the workshop include:

  1. Understanding of how to get research started
  2. Understanding of research process
  3. Enable participant to identify key principles of knowledge translation
  4. Apply KT principles & techniques in the design of research projects
  5. Be inspired to design projects that will really make an impact
  6. Support your efforts to create the greatest potential for translating research into practice

Facilitators:  Professor Kate Curtis & Professor Marg Fry

kate_curtis_300margaret-fry

 

 

 

 

 

Join us to hear about the science behind these and other interventions, and get hands on experience in this interactive workshop

Interventions that will be covered are some of those that can be lifesaving in all types of emergency environments: rural, regional, pre-hospital, during transport and in the major trauma centre

We will discuss the purpose of each of the following and learn to use correctly

  • pelvic binder (purpose and correct placement)
  • the CT6 traction splint
  • eFAST
  • chest and pelvis xrays
  • Quikclot
  • highflow nasal cannulae
  • soft (foam) and philadelphia collars

Facilitators: Alex Tzannes, Rochelle Cummins

Rochelle has worked in ED for almost 10 years, 8 of which have been at SGH. For the past 5 years she has worked in the ED educator roles and currently is acting in the CNC role. She works closely with the Trauma service at SGH and have a passion for providing high quality patient care to all patient’s in the ED.

ICEN - TeleflexIt has been cited in literature that ‘NIV is beautiful’, words written by a leading expert in the field of Respiratory Care.  If you haven’t found your love for NIV, please join me to refine your skills and to gain knowledge and confidence.  Taking a hands on approach, this session will  explore techniques and approaches to overcome challenges  when using NIV in the Emergency Department.  Come prepared to share your current practices and experiences, and have a little fun along the way!

Facilitator: Claire Constantine (RN, BN, Grad Dip ICU)

Claire Constantine

Designed for clinicians from mixed Emergency Departments and smaller centres, this interactive small group workshop will provide rotations through skills stations including management of minor wounds, musculoskeletal injuries, burns and special senses (eyes/ears/nose/teeth). There will be a focus on integration of distraction and play.                                                                         

The aims of the workshop include:

  1. Develop confidence in managing children and families
  2. Understand the effect of child development on interventions and procedures
  3. Enable participants to assess minor injury and consider informed treatment options
  4. Provide instruction on skills and techniques in the management of minor injuries
  5. Consider resources informing the choice of consumables
  6. Instil confidence to translate and utilise skills within local departments
  7. Provide links and resources to support practice

Facilitators:

Glenda Mullen, NP ED Sydney Children’s Hospital, Randwick NSW

Danielle Coates, NP ED Sydney Children’s Hospital, Randwick NSW

Karen Hodson, CNE ED Sydney Children’s Hospital, Randwick NSW

Amy Langron, Child Life Therapist, ED Sydney Children’s Hospital, Randwick NSW

Kerrie Amy, Physiotherapist Orthopaedics, Sydney Children’s Hospital, Randwick NSW

Kelly Waddell, NP Burns and Plastics Treatment Centre, Children’s Hospital Westmead NSW

Madeleine Jacques, TNP Burns and Plastics Treatment Centre, Children’s Hospital Westmead

Ruth Irwin, TNP ED, Royal Prince Alfred Hospital, Camperdown NSW

Joanna McCulloch, CNC/NE Sydney Eye Hospital

Danielle Coates and Glenda Mullen (Workshop Convenors)

Workshop 4

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The Heart of Caring Reflective Resource will be used to workshop with participants. The participants will have the opportunity to consider an action plan towards self-care & well being and how they can lead person centred compassionate care in emergency nursing.

This reflective and interactive workshop will provide you with the opportunity to consider:

  • What compassionate care mean to you?
  • How you support one another in your team towards providing person centred compassionate care?
  • ‘The Heart of Caring’ and what it means to us and to our teams is a question we need to regularly consider.
  • How do you work towards leading Person Centred Compassionate Care every day?
  • Develop an action plan toward leading person centre compassionate care

Facilitators:  Karen Tuqiri & Suzy Murray, SESLHD

ICEN - TeleflexJoin us for this fun, hands on, interactive workshop which will further develop your critical thinking skills and competencies with selection and placement of Vascular Access Devices. Innovative techniques, technologies and strategies designed to meet the immediate vascular access needs of the Critically Ill Patient in the Emergency Setting will be presented through case based scenarios. The learning Objectives are:

  • Assessment and selection of the Right Vascular Device for the Right Patient in the Right time
  • Demonstrate assessment and clinical skills with IO insertion
  • Demonstrate upsizing of peripheral cannulas

 

Facilitators: Marguerita Cirillo (RN, BN, Grad Dip ICU, MN)

Marguerita Cirillo